20D2192696 CLIA NUMBER - MAINE VETERANS HOME CARIBOU

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Laboratory Demographics

CLIA Number: 20D2192696

Facility Name: MAINE VETERANS HOME CARIBOU

Facility Address:
163 VAN BUREN ROAD, SUITE 2MAX
CARIBOU, ME
ZIP 04736
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Facility Phone Number: 207 498-6074

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1538134242

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	20D2192696
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	MAINE VETERANS HOME CARIBOU
Street	163 VAN BUREN ROAD, SUITE 2MAX
City	CARIBOU
State	ME
ZIP	04736
Phone	207 498-6074
CertificateType	4
CertificateEffectiveDate	9/14/2022
CertificateExpirationDate	9/13/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024